Individual provider · Type 1 NPI

Evelina Manvelyan, MD

Student in an Organized Health Care Education/Training Program · Bay Shore, NY

NPI number 1366946295 Active

Practice location

301 E Main St
Bay Shore, NY 11706-8458

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366946295

Evelina Manvelyan, MD's National Provider Identifier is 1366946295, issued on Mar 23, 2018. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bay Shore, NY. The record was last updated on Mar 23, 2018.